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Family Medicine in Japan
Blake W. H. Smith, PhD;
Ray Demers, MD;
Linda Garcia-Shelton, PhD
Arch Fam Med. 1997;6(1):59-62.
Abstract
Two networks of medical care have grown up in Japan: 1 network based in hospitals and 1 based in private clinics. Most physicians in clinics practice general medicine, although only a small proportion of them are trained in primary care. Postgraduate medical education is oriented toward the training of specialists. Owing to the impending retirement of the cohort of clinic-based physicians who have dominated medical politics in Japan, the system is expected to change substantially in the next decade. Among the reformers is a small group of physicians who are attempting to introduce family practice.
Author Affiliations
From the Department of Family Practice, College of Human Medicine, Michigan State University, East Lansing (Drs Smith and Garcia-Shelton); and the Department of Family Medicine, Wayne State University, Detroit, Mich (Dr Demers). Dr Garcia-Shelton is now with the Department of Family Practice, University of Illinois at Chicago.
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